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Articles Published Processes
11/13/2014 5:10:00 PM | Browse: 1007 | Download: 957
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Received |
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2013-12-30 12:21 |
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Peer-Review Started |
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2013-12-30 15:39 |
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To Make the First Decision |
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2014-04-28 14:27 |
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Return for Revision |
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2014-05-06 10:03 |
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Revised |
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2014-07-14 00:00 |
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Second Decision |
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2014-09-10 09:12 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-09-10 09:42 |
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Articles in Press |
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2014-09-10 09:42 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-10-31 12:16 |
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Publish the Manuscript Online |
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2014-11-13 17:10 |
Category |
Obstetrics & Gynecology |
Manuscript Type |
Review |
Article Title |
Prevention of shoulder dystocia related birth injuries: Myths and facts
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Manuscript Source |
Invited Manuscript |
All Author List |
Leslie Iffy |
Funding Agency and Grant Number |
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Corresponding Author |
Leslie Iffy, MD (Bp. Hon.), FRCS (Canada), Professor of Obstetrics and Gynecology (retired), 5 Robin Hood Road, Summit, NJ 07901,
United States. liffy@comcast.net
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Key Words |
Shoulder dystocia; Erb’s palsy; Fetal macrosomia; Brachial plexus injury; Two-step delivery; Birth injury |
Core Tip |
Traditionally, brachial plexus injury at birth has been considered traction related. Recently, several authors proposed that one-half or more of these injuries occur spontaneously “in utero” resulting from myometrial activity. Study of 338 birth injuries found close association with deliveries that had involved manual and instrumental extractions. Only one Erb’s palsy occurred following cesarean section. These findings indicate that spontaneous intrauterine brachial plexus damage is extremely rare. Meticulous antenatal care, elective abdominal delivery of grossly macrosomic fetuses and non-interference with the natural birthing process are recommended for preventing shoulder dystocia and its dire consequences.
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Publish Date |
2014-11-13 17:10 |
Citation |
Iffy L. Prevention of shoulder dystocia related birth injuries: Myths and facts. World J Obstet Gynecol 2014; 3(4): 148-161 |
URL |
http://www.wjgnet.com/2218-6220/full/v3/i4/148.htm |
DOI |
http://dx.doi.org/10.5317/wjog.v3.i4.148 |
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